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    Related Topics

    From Musculoskeletal System

    Syndesmoses
    Fibrous joints where bones are connected by ligaments.
    Adductors
    Muscles that bring the thighs toward the midline.
    Interspinous Ligament
    Spinal ligament between adjacent vertebral spinous processes.
    Sutures (in the skull)
    Fibrous joints between skull bones.
    Obliques (External and Internal)
    Muscles responsible for torso rotation.
    Trapezius
    Muscle responsible for moving, rotating, and stabilizing the scapula.
    Sacroiliac Ligaments
    Ligaments connecting the sacrum to the iliac bones.
    Posterior Longitudinal Ligament
    Spinal ligament running along the back of the vertebral column.
    Coccyx
    Tailbone, the remnant of the tail in humans.
    Metatarsals (5 bones)
    5 bones forming the mid-foot.
    Thoracic Vertebrae (T1 - T12)
    Vertebrae in the upper and mid-back (T1-T12).
    Frontal Bone
    Bone forming the forehead and upper part of the orbits.
    Phalanges (14 bones)
    14 bones forming the toes.
    Brachioradialis
    Muscle responsible for forearm flexion.
    Femur
    Thigh bone, the longest and strongest bone in the body.
    Vertebral Column
    Spinal column consisting of vertebrae.
    Maxillae
    Upper jaw bones that house the teeth and form part of the orbit.
    Symphyses
    Cartilaginous joints where bones are connected by fibrocartilage.
    Buccinator
    Muscle that helps with chewing and blowing air out.
    Soleus
    Calf muscle responsible for plantarflexion of the foot.
    Biceps Brachii
    Muscle responsible for elbow flexion.
    Pivot Joints
    e.g., atlanto-axial joint
    Patella
    Knee cap, protecting the knee joint.
    Occipital Bone
    Bone forming the back and base of the skull.
    Ball-and-Socket Joints
    e.g., shoulder, hip

    Hamstrings

    Reviewed by our medical team

    Biceps Femoris, Semitendinosus, Semimembranosus.

    1. Overview

    The hamstrings are a group of three muscles located in the posterior compartment of the thigh. They play a crucial role in lower limb movement, especially in hip extension and knee flexion. These muscles are essential for walking, running, jumping, and maintaining an upright posture. The hamstrings are biarticular—meaning they cross both the hip and knee joints—and work synergistically to coordinate complex lower limb actions.

    2. Location

    The hamstrings are located on the posterior aspect of the thigh, extending from the pelvis to the proximal tibia and fibula:

    • Proximally: Originate from the ischial tuberosity of the pelvis (except short head of biceps femoris).

    • Distally: Insert into bones of the lower leg (tibia and fibula).

    • Positioned superficial to: The sciatic nerve, which courses through the posterior thigh between or beneath these muscles.

    3. Structure

    The hamstring group includes three main muscles:

    • Biceps femoris:

      • Long head: Originates from the ischial tuberosity.

      • Short head: Originates from the linea aspera of the femur.

      • Inserts on the head of the fibula.

    • Semitendinosus:

      • Originates from the ischial tuberosity.

      • Inserts on the medial surface of the proximal tibia (part of pes anserinus).

    • Semimembranosus:

      • Originates from the ischial tuberosity.

      • Inserts on the posterior part of the medial tibial condyle.

    • Innervation: Primarily by the tibial division of the sciatic nerve, except the short head of the biceps femoris, which is innervated by the common fibular division.

    • Blood supply: Perforating branches of the profunda femoris artery and inferior gluteal artery.

    4. Function

    The hamstrings have two primary actions:

    • Hip extension: Pull the thigh posteriorly, especially during walking, running, and standing from a seated position.

    • Knee flexion: Bend the knee joint, essential in locomotion and posture changes.

    Additionally, the biceps femoris also aids in external rotation of the leg, while semitendinosus and semimembranosus assist with internal rotation of the flexed knee.

    5. Physiological role(s)

    Hamstrings are involved in multiple physiological and biomechanical processes:

    • Locomotion: Generate the propulsive force during gait, especially in the terminal swing phase where they decelerate the leg before heel strike.

    • Pelvic stability: Help control anterior tilt of the pelvis and support the hip joint during standing and movement.

    • Postural support: Prevent hyperextension of the knee and hip during upright stance.

    • Muscle synergy: Work in coordination with gluteus maximus and calf muscles for climbing, running, and jumping actions.

    6. Clinical Significance

    The hamstring muscles are frequently involved in sports injuries and postural dysfunction:

    • Hamstring strain or tear:

      • One of the most common injuries in athletes, especially sprinters; occurs during eccentric contraction when the leg is extending while the muscle is lengthening.

      • Commonly affects the biceps femoris and may vary in severity (Grade I to III).

    • Avulsion fractures:

      • In young athletes, the ischial tuberosity may be avulsed due to strong hamstring contraction, particularly during jumping or sprinting.

    • Sciatic nerve compression:

      • Hypertrophy or injury to the hamstrings can irritate the sciatic nerve, leading to radiating leg pain or numbness.

    • Chronic tightness:

      • Can contribute to postural issues, including anterior pelvic tilt, lumbar strain, and decreased lumbar mobility.

    • Rehabilitation and prevention:

      • Hamstring conditioning, stretching, and eccentric strengthening are critical in preventing reinjury and improving athletic performance.

    Did you know? Your hand has 5 metacarpal bones.